Provider Demographics
NPI:1134550890
Name:LOBAINA, SANDRA ANN (LM,CPM,IBCLC)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:ANN
Last Name:LOBAINA
Suffix:
Gender:F
Credentials:LM,CPM,IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 SW 67TH TER
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33023-1274
Mailing Address - Country:US
Mailing Address - Phone:305-600-8109
Mailing Address - Fax:
Practice Address - Street 1:2750 N 29TH AVE STE 309
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-1521
Practice Address - Country:US
Practice Address - Phone:954-880-1182
Practice Address - Fax:954-301-8385
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-06
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW325176B00000X
FL11119829174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No176B00000XOther Service ProvidersMidwife